CN202821488U - Hemostasis appliance - Google Patents

Hemostasis appliance Download PDF

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Publication number
CN202821488U
CN202821488U CN201190000266.6U CN201190000266U CN202821488U CN 202821488 U CN202821488 U CN 202821488U CN 201190000266 U CN201190000266 U CN 201190000266U CN 202821488 U CN202821488 U CN 202821488U
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CN
China
Prior art keywords
balloon
puncture
belt body
hemostasis
site
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Expired - Lifetime
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CN201190000266.6U
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Chinese (zh)
Inventor
云山贤一
松田顺子
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Terumo Corp
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Terumo Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable

Abstract

The utility model provides a hemostasis appliance, which can detect compressing pressure of a body part which needs to stop bleeding and prevent a deviation of the compressing pressure by different performers. The hemostasis appliance (1) comprises a belt body (2) for winding a part which needs to stop bleeding (510) of a limb (500), a fixed member which fixes the belt body in a state of winding around the limb, a balloon (5) which is disposed on the belt body and expands by injecting fluid, and a pressure sensor (110) for detecting the pressing pressure of the expanded balloon on the part which needs to stop bleeding.

Description

The hemostasis utensil
Technical field
This utility model relates to a kind of hemostasis utensil.
Background technology
Import the guide sheath to the site of puncture that is formed at arm or foot, the percutaneous such as conduit are inserted the diseased region of blood vessel etc. via the inner chamber of this guide sheath, treat, inspection etc.When carrying out above-mentioned treatment, inspection etc., need to the site of puncture that take out behind the above-mentioned guide sheath be stopped blooding.In order to carry out described hemostasis, known following hemostasis utensil, described hemostasis utensil has: belt body is used for being wrapped in the site of puncture of arm or foot; Fixed component is fixed as described belt body the state that is wrapped on the site of puncture; Balloon is expanded compressing site of puncture (for example referring to patent documentation 1) by injecting fluid.
In the technology that patent documentation 1 is put down in writing, utilize piezometer to detect the interior fluid pressure of balloon, detected pressure is considered as conducting to the pressure of blood vessel.
Patent documentation 1: Japanese kokai publication hei 7-79983 communique
The utility model content
But, owing near the site of puncture, having bone and tendon etc. or because balloon self flexible insufficient, thus the outer surface that can produce balloon not with the state of site of puncture driving fit.In the above-mentioned situation, the pressure that conducts to blood vessel is also different from the fluid pressure in the balloon.
Therefore, actual situation is that amount and degree for the expansion balloon depend on the sensation that doctor or nurse etc. execute the patient to a great extent, about the pressure of compressing site of puncture, how much deviation can occur because executing patient's difference.Site of puncture or the not enough problem that can not implement abundant hemostasis of on the contrary compressing are too oppressed in result's existence.
This utility model is finished in order to solve the problem that exists in the above-mentioned prior art, the purpose of this utility model is to provide a kind of hemostasis utensil, described haemostat prodigiosin enough detects the pressure at the position of should stopping blooding such as compressing site of puncture etc. itself, prevent by difference execute that the patient causes to should the stop blooding pressure generation deviation at position of compressing.
Be used for reaching above-mentioned purpose hemostasis utensil of the present utility model and be characterised in that to have: belt body, for the position of should stopping blooding that is wrapped in limbs; Fixed component is fixed as above-mentioned belt body the state that is wrapped on the above-mentioned limbs; Balloon is installed on the above-mentioned belt body, expands by injecting fluid; And pressure transducer, for detection of the pressure at the above-mentioned position of should stopping blooding of above-mentioned balloon compressing of being expanded.
According to this utility model, the balloon that utilizes the pressure transducer detection to be expanded is oppressed the pressure at the position of should stopping blooding, therefore, can detect should the stop blooding pressure at position of compressing itself, can prevent that executing the patient by difference causes should the stop blooding pressure at position of compressing is produced deviation.
Description of drawings
[Fig. 1] is the upward view (state of the inner face side when observation is installed on the wrist) of the hemostasis utensil of expression embodiment of the present utility model.
[Fig. 2] is installed in hemostasis utensil shown in Figure 1 for expression the figure of the state on the wrist.
[Fig. 3] is the sectional view along the 3-3 line of Fig. 2.
[Fig. 4] contains the block diagram of formation of the control system of display part for expression.
[Fig. 5] is the structure diagram of expression leakage sensor.
[Fig. 6] is installed in the figure that the state on the wrist represents with sectional view for the hemostasis utensil with Change Example.
The specific embodiment
Below, on one side with reference to accompanying drawing, embodiment of the present utility model is described on one side.Need to prove, the symbol identical to same element annotation omits repeat specification in the description of the drawings.In addition, for convenience of explanation, the dimensional ratios of accompanying drawing is exaggerated sometimes, and is different from the ratio of reality.
With reference to Fig. 1~Fig. 3, be formed on wrist 500 site of puncture 510 of (being equivalent to " limbs ") (being equivalent to " position of should stopping blooding ") in order to treat, to be retained in the insertion blood vessels such as conduit of inspection etc. and with the guide sheath, after taking out the guide sheath, illustrated hemostasis utensil 1 is used for this site of puncture 510 is stopped blooding.
Say roughly, hemostasis utensil 1 has: belt body 2, for the site of puncture 510 that is wrapped in wrist 500; Magic tape 3 is as belt body 2 being fixed as the fixed component that is wrapped in the state on the wrist 500; Balloon 5 is installed on the belt body 2, and expands by injecting fluid; Pressure transducer 110 is for detection of the pressure of the balloon 5 compressing sites of puncture 510 of being expanded.In the illustrated embodiment, hemostasis utensil 1 also has the display part 210 that demonstration utilizes pressure transducer 110 detected pressure.Display part 210 is installed on the belt body 2.And then pressure transducer 110 is also used as label, and described label is used for making balloon to aim at site of puncture 510.Below, describe hemostasis utensil 1 in detail.
Belt body 2 is for having flexible ribbon-shaped members.As shown in Figure 3, belt body 2 twines in the mode around outer week Monday of wrist 500, and near the part the two ends of belt body is installed on the wrist 500 overlappingly.Then, this intersection of belt body 2 utilizes following magic tape 3 to be fixed (joint).
The constituent material of belt body 2 can be enumerated for example polyolefin of polrvinyl chloride, polyethylene, polypropylene, polybutadiene, vinyl-vinyl acetate copolymer (EVA) and so on as long as for recognizing the material of site of puncture 510, be not particularly limited; The polyester of polyethylene terephthalate (PET), polybutylene terephthalate (PBT) (PBT) and so on; The various thermoplastic elastomer (TPE)s such as polyvinylidene chloride, organosilicon, polyurethane, polyamide elastomer, polyurethane elastomer, polyester elastomer; Or their combination in any (hybrid resin, polymer alloy, lamilated body etc.).
Need to prove, belt body 2 is preferably transparent in fact.Thus, can distinguish exactly from the outside site of puncture 510, can make pressure transducer 110 easily aim at site of puncture 510.
The central part of belt body 2 is formed with the twisted plate maintaining part 21 that keeps twisted plate 4.For twisted plate maintaining part 21, by utilizing the methods such as welding (thermal welding, high frequency welding, ultrasonic fusing etc.) or bonding (binding agent or utilize the bonding of solvent) to engage the member of another belt body at its exterior side (or inner face side), be formed for thus inserting the clearance portion of twisted plate 4.Belt body 2 is so that twisted plate 4 and balloon 5 overlapping modes keep twisted plate 4.
The inner face side (face side of Fig. 1 paper) of part is equipped with the male side 31 (or female side) of the magic tape 3 that is generally known as Magic Tape (registered trade mark) etc. near the left end in Fig. 1 of belt body 2.On the other hand, near the exterior side (rear side of Fig. 1 paper) of the part of the right-hand member among Fig. 1 of belt body 2 is equipped with the female side 32 (or male side) of magic tape 3.As shown in Figure 3, engage by male side 31 and female side 32 with magic tape 3, belt body 2 is installed on the wrist 500.Need to prove, as belt body 2 being fixed as the fixed component that is wrapped in the state on the wrist 500, be not limited to magic tape 3, for example also can be for double buckle, button, clip, pass the framing component of the end of belt body 2.
Twisted plate 4 remains on the belt body 2 by being inserted into the clearance portion of twisted plate maintaining part 21.Twisted plate 4 forms its at least a portion towards the shape of interior all lateral bends.This twisted plate 4 makes the shape that keeps constant by consisting of than belt body 2 harder hard materials.
As shown in Figure 1, in the present embodiment, twisted plate 4 forms in the long shape of the length direction of belt body 2.As shown in Figure 3, the central part 41 of the length direction of described twisted plate 4 hardly crooked, be tabular, form respectively in the both sides of this central part 41 towards interior all sides and along the bending section 42 of length direction (circumferencial direction of the wrist 500) bending of belt body 2.The radius of curvature R 2 of bending section 42 is less than the radius of curvature R 1 (in the illustrated formation, R1 is almost infinity) of central part 41.
Constituent material as twisted plate 4, as long as for distinguishing the material of site of puncture 510, be not particularly limited, can enumerate for example acrylic resin, polrvinyl chloride (particularly RPVC), polyethylene, polypropylene, the polyolefin of polybutadiene and so on, polystyrene, poly--(4-methyl-1-pentene), Merlon, ABS resin, polymethyl methacrylate (PMMA), polyacetals, polyacrylate, polyacrylonitrile, poly-vinylidene fluoride, ionomer, acrylonitrile-butadiene-styrene copolymer, polyethylene terephthalate (PET), the polyester of polybutylene terephthalate (PBT) (PBT) and so on, BS, aromatic series or fatty polyamide, the fluorine-type resins such as politef etc.
Need to prove, twisted plate 4 is preferably transparent in fact.Thus, can distinguish exactly from the outside site of puncture 510, can make pressure transducer 110 easily aim at site of puncture 510.
Twisted plate 4 can not have unbending part as central part 41, that is, crooked on its total length.
Be connected with the balloon 5 that consists of by having flexible material at belt body 2.Balloon 5 is expanded the site of puncture 510 of compressing wrist 500 by injecting fluid gas or liquid such as () air.
Balloon 5 is positioned at the distolateral position that deflection remains on the length direction of the twisted plate 4 on the belt body 2.In the illustrated formation, balloon 5 is arranged in the right half side overlapping position roughly with Fig. 3 of twisted plate 4.
The constituent material of balloon 5 for example can use the material identical with the constituent material of above-mentioned belt body 2 as long as for distinguishing the material of site of puncture 510, be not particularly limited.In addition, balloon 5 is preferably by consisting of with belt body 2 homogeneities or material of the same race.Thus, can easily utilize engaging of welding and belt body 2, can easily make.
Need to prove, balloon 5 is preferably transparent in fact.Thus, can distinguish exactly from the outside site of puncture 510, can make pressure transducer 110 easily aim at site of puncture 510.
Balloon 5 is such as being following structure: utilize welding or the method such as bonding, the edge part sealing of the sheet material that will be formed by aforesaid material forms bag-shaped.In illustrated formation, balloon 5 is tetragon under the state of not expanding.
Above-mentioned balloon 5 is connected on the belt body 2 via having flexible connecting portion 11.In the present embodiment, balloon 5 with respect to a side of twisted plate 4 biasing, be that only right side among Fig. 3 is connected on the belt body 2 via connecting portion 11.For this connecting portion 11, make its essence Length Ratio shorter, balloon 5 is retained in the position amesiality with respect to twisted plate thus.Need to prove, connecting portion 11 is preferred by consisting of with the material of balloon 5 with material.
On the one side side (face side of Fig. 1 paper) that pressure transducer 110 is arranged on the inner face side of balloon 5, namely contact with site of puncture 510.Be arranged on the balloon 5 by the pressure transducer 110 that will be also used as label, can make balloon 5 easily aim at site of puncture 510.Thus, can suppress blood that the position deviation by balloon 5 causes spills or hematoma occurs.
As shown in Figure 1, pressure transducer 110 preferably is arranged on the central part of balloon 5, namely centered by tetragonal cornerwise intersection point of balloon 5.Thus, can make the central part of balloon 5 aim at site of puncture 510, therefore, when making balloon 5 expansion, the extruding of balloon 5 (compressing) power plays a role exactly with respect to site of puncture 510.And then the pressure that working pressure sensor 110 detects the balloon 5 compressing sites of puncture 510 of being expanded is actual pressure, therefore, can detect the pressure of compressing site of puncture 510 itself.Thus, can suppress by execute that the patient causes in the deviation aspect the pressure of compressing site of puncture 510.
The mode of the pressure detecting in the pressure transducer 110 is not particularly limited.For example, can use the pressure transducer that comes the mode of detected pressures by the variation of reading resistance as voltage signal, the following generation of the variation of described resistance: owing to the pressure from the outside, diaphragm deflection, the piezoresistance element that is formed on the barrier film deforms.The pressure transducer of aforesaid way is caught the deflection of barrier film directly as the resistance variations of piezoresistance element, and therefore, component structure is simple, is mostly the element of miniaturization.
The shape of pressure transducer 110 is not particularly limited, and can enumerate such as circle, triangle, tetragon etc., is tetragon among Fig. 1.
The size of pressure transducer 110 is not particularly limited, but can consider to determine from the aspect that is also used as label.For example, during for quadrangle form, preferably its length on one side is in the scope of 1~4mm.If length on one side is more than the 5mm, then with respect to the size of site of puncture 510, the size of bringing into play the pressure transducer 110 of function as label becomes large, and therefore, becoming is difficult to make the central part of balloon 5 to aim at site of puncture 510.
The color of pressure transducer 110 also is not particularly limited, but can consider to determine from the aspect that is also used as label.The color of pressure transducer 110 as long as the color for making balloon 5 aim at site of puncture 510 is not particularly limited but be preferably green is.By being green system, on blood or skin, can easily distinguish the pressure transducer 110 as label, make balloon 5 more easily aim at site of puncture 510.
The method that pressure transducer 110 is set at balloon 5 is not particularly limited, and for example can enumerate at coating adhesive on the one side of pressure transducer 110, be fitted in the method on the balloon 5.
As shown in Figure 1, be connected with for the injection unit 8 to balloon 5 interior injection fluids at balloon 5.Injection unit 8 has: have flexible pipe 81, the base end part of described pipe 81 is connected on the balloon 5, and the internal communication of inner chamber and balloon 5; Bag 82 is arranged on the leading section of pipe 81; And the adapter 83 of tubulose, be connected on the bag 82.
When making balloon 5 expansion (expansion), with the front end protuberance insertion adapter 83 of syringe (not shown), push the thromboembolism of this syringe, via injection unit 8 fluid in the syringe is injected in the balloon 5.Behind balloon 5 interior injection fluids, take out the front end protuberance of syringe from adapter 83, be built in the closure of check ring of adapter 83, prevent the outflow of fluid, keep the state that balloon 5 expands.
As shown in Figure 3, the saloon 6 that consists of by having flexible material is set between twisted plate 4 and balloon 5, itself and balloon 5 are arranged overlappingly.Described saloon 6 works as the extruded member of extruding balloon 5.
Saloon 6 utilization is filled in the pressure of inner fluid, shown in the arrow f among Fig. 3, towards the direction extruding balloon 5 of the central part 520 of wrist 500 roughly.By accepting the extruding force from above-mentioned saloon 6, shown in the arrow F among Fig. 3, balloon 5 from the top down, not with vertical direction (with the direction of the Surface Vertical of wrist 500) with the direction that tilts (towards the direction of the central part 520 of wrist 500) extruding (compressing) site of puncture 510.Thus, and compare with the situation of vertical direction extruding (compressing) site of puncture 510 from the top down, can obtain more excellent haemostatic effect.
As the constituent material of saloon 6, as long as for distinguishing the material of site of puncture 510, be not particularly limited, for example can use the material identical with the constituent material of above-mentioned belt body 2.And saloon 6 is preferably transparent in fact.Thus, can distinguish exactly from the outside site of puncture 510, can make pressure transducer 110 easily aim at site of puncture 510.
By making the width of saloon 6 on the length direction of belt body 2 less than balloon 5, its size also becomes less than balloon 5, local extruding balloon 5.Thus, can make more accurately from the direction of balloon 5 from extruding force F of 510 to the site of puncture.
And then as mentioned above, the side (right side among Fig. 3) that twisted plate 4 is setovered at balloon 5 has with the central part 41 of twisted plate compares the little bending section of radius of curvature 42.And, the bending section 42 of saloon 6 and twisted plate 4 or contact than the part (via belt body 2) on right side among bending section 42 more close Fig. 3.Thus, saloon 6 is from the direction of twisted plate 4 capacities, and in other words, the normal direction of the twisted plate 4 of saloon 6 (via belt body 2) contact portion tilts to the direction towards the central part 520 of wrist 500.As a result, the direction of extruding force f or extruding force F is tilted.
The part of the part of balloon 5 and saloon 6 engages by mutual welding or the method such as bonding.And, form the interconnecting part (peristome) 12 with the internal communication of the inside of balloon 5 and saloon 6 at this junction surface.Thus, during as mentioned above to balloon 5 filling liquid, the part of the fluid that is injected into flows in the saloon 6 via interconnecting part 12, follows the expansion of balloon 5, saloon 6 expansions.Thus, can both be expanded by 1 operation, operability be excellent.
Above-mentioned saloon 6 is via fixed part 13, is being connected with belt body 2 with the same side (right side among Fig. 3) of the connecting portion 11 of balloon 5.Thus, saloon 6 is easier and form exactly the attitude of inclination, therefore, become with respect to the extruding force f of balloon 5 and be easy to obtain more excellent haemostatic effect from the direction that tilts (making balloon 5 roughly towards the direction of the central part 520 of wrist 500) effect.
Need to prove, extruded member is not limited to saloon 6, such as being the member of pad of being formed by spongy material, elastomeric material, fiber assembly cotton or their combination etc. and so on.
With reference to Fig. 4, the display part 210 of present embodiment for example comprises LCD monitor 211 and buzzer 212.On display part 210, assemble integratedly control part 220, storage part 230, operating portion 240.They interconnect via the bus 250 that is used for the exchange signal.Also be connected with pressure transducer 110 on the bus 250, be transfused to control part 220 with pressure transducer 110 detected signals.Control part 220 comprises CPU, carries out the control of above-mentioned each one and from the various calculation process of the signal of pressure transducer 110 according to program.Storage part 230 has the ROM that pre-deposits various programs and various data, as RAM of the temporary transient storage program in operating area and data etc.Operating portion 240 has touch panel, start button, stop button etc., is used for the input of various indications.As the LCD monitor 211 of display part 210, can show the various information such as pressure of utilizing pressure transducer 110 detected compressing sites of puncture 510.In addition, the buzzer 212 as display part 210 can come demonstration information by the sound that gives the alarm.
About the pressure of compressing site of puncture 510, control part 220 can be accepted the input of limits pressure and threshold pression.And control part 220 shows these information by display part 210 when being judged as when being higher than limits pressure by pressure transducer 110 detected pressure or being judged as it and being lower than threshold pression.Particularly, display message on LCD monitor 211, or buzzer 212 sound that gives the alarm.
As shown in Figures 1 and 2, the hemostasis utensil 1 of present embodiment also has the temperature sensor 120 for detection of the shell temperature of wrist 500.With reference to Fig. 4, on bus 250, also be connected with temperature sensor 120, serviceability temperature sensor 120 detected signals are transfused to control part 220.Shown by LCD monitor 211 or buzzer 212 as display part 210 by temperature sensor 120 detected shell temperatures.
Temperature sensor 120 preferably is installed in following position: in the position of the outer surface of balloon 5, when being wrapped in belt body 2 on the site of puncture 510, being positioned at and comparing the more close palmar side position of (being equivalent to " the tip sides of limbs ") with site of puncture 510.Its reason is: by temperature sensor 120 being disposed at the position of comparing more close palmar side with site of puncture 510, and compressing site of puncture 510, the temperature decline in the time of can detecting exactly blood flow thus and be truncated prevents.
The kind of temperature sensor 120 is not particularly limited, such as using the known sensors such as temperature detecting resistance, thermocouple or critesistor.
As shown in Figures 1 and 2, in the hemostasis utensil 1 of present embodiment, has the leakage sensor 130 that spills for detection of blood.With reference to Fig. 5, leakage sensor 130 has to surround the suction member 131 that the mode of pressure transducer 110 configures.Suction member 131 is by dielectric water absorption raw material, form such as non-woven fabrics etc.Be electrically connected with buzzer 212 on the described suction member 131.Suction member 131 spills, makes the switch element of buzzer 212 work to work as detecting blood.That is, by the switch element that forms of suction member 131 before absorbing blood for closing, the formation "on" position becomes and opens when the blood that absorption spills.The blood that utilizes leakage sensor 130 to detect spills, and shows by the report as the buzzer 212 of display part 210.Suction member 131 for example is configured to the rectangular shape of 20mm * 20mm, but its size and shape can appropriate change.
Leakage sensor 130 preferably is installed in following position: position in the position of the outer surface of balloon 5, that be positioned at the periphery of site of puncture 510 when being wrapped in belt body 2 on the site of puncture 510.Its reason is: by 510 the circumferential arrangement leakage sensor 130 in the site of puncture, and can be accurately and promptly detect 510 blood that spill from the site of puncture.In the present embodiment, owing to configure suction member 131 in the mode of surrounding pressure transducer 110, so leakage sensor 130 can be configured in simply the periphery of site of puncture 510.
Leakage sensor is not limited to above-mentioned formation.For example, known leakage sensor can be connected on the bus 250 (with reference to Fig. 4), will be with the detected signal input control of leakage sensor section 220.The spilling not only of blood of being detected by leakage sensor can be shown by the buzzer 212 as display part 210, also can be shown by the LCD monitor 211 as display part 210.
Next, the using method for hemostasis utensil 1 describes.
The utensil 1 that will stop blooding is installed on before the wrist 500, makes balloon 5 and the state of saloon 6 for not expanding.In the situation that be installed on wrist 500, usually be positioned at the position of deflection thumb side of the inboard (side that tendon is arranged) of wrist 500 to the site of puncture 510 of arterypuncture.Usually, 510 indwellings have the guide sheath in the site of puncture.There is the wrist 500 of the state of this guide sheath to twine belt body 2 in indwelling, balloon 5 (belt body 2) is aimed at, the label 7 that is arranged on the balloon 5 is overlapped on the site of puncture 510, use near the both ends of magic tape 3 fixing (joint) belt bodies 2.
After the utensil 1 that will stop blooding is installed on the wrist 500, in the adapter 83 connection syringe (not shown)s of injection unit 8, fluid is injected in balloon 5 and the saloon 6, make balloon 5 and saloon 6 expansions.Can utilize the injection rate of liquid of this moment, according to case easily regulate the degrees of expansion of balloon 5 and saloon 6, namely to the compressing power of site of puncture 510, operability is excellent.
And, the balloon 5 that utilizes pressure transducer 110 detections to be expanded is oppressed the pressure of sites of puncture 510, show detected pressure by LCD monitor 211 or buzzer 212 as display part 210, therefore, can detect the pressure of compressing site of puncture 510 itself.Can observe detected pressure on one side, Yi Bian regulate objectively the injection rate of liquid.Therefore, can prevent from producing deviation by what execute that the patient causes aspect the pressure of compressing site of puncture 510.As a result, can too not oppress site of puncture 510, and can give suitable compressing power, implement abundant and suitable hemostasis.
After making balloon 5 and saloon 6 expansions, syringe is broken away from from adapter 83.Then, 510 take out the guide sheath from the site of puncture.Thus, balloon 5 and saloon 6 are kept expansion state, keep the oppression state (with reference to Fig. 3) to site of puncture 510.In this state, balloon 5 pushes site of puncture 510 (and periphery) partly, and passes through the expansion of balloon 5 and saloon 6, and twisted plate 4 leaves from the surface of wrist 500, becomes to be difficult to contact with wrist 500.Thus, site of puncture 510 (and periphery) concentrated and accepted compressing power, and therefore, haemostatic effect improves, and can avoid oppressing and do not need other blood vessels of stopping blooding or neural etc., can effectively prevent the paralysis of hands or poor circulation etc.
In addition, utilize temperature sensor 120 to detect the shell temperature of wrist 500, show detected shell temperature by LCD monitor 211 or buzzer 212 as display part 210, therefore, can be by compressing site of puncture 510, the decline of the body temperature when easily observing blood flow and being truncated.
And, because temperature sensor 120 is configured in the position of comparing more close palmar side with site of puncture 510, so the temperature decline in the time of detecting exactly blood flow and be truncated prevents.
In addition, utilize leakage sensor 130 to detect spilling of blood, utilize the buzzer 212 as display part 210 to show that detected blood spills, thus can easily observe blood from the site of puncture 510 spill.Leakage sensor 130 is owing to using suction member 131 as switch element, and therefore formation is simple, can make cheap leakage sensor.
And, since in the site of puncture 510 circumferential arrangement leakage sensor 130, so can be accurately and promptly detect blood from the site of puncture 510 spill.
(Change Example)
Fig. 6 is for being installed in the hemostasis utensil 1 of Change Example the sectional view of the state on the wrist.
The position of pressure sensor 110, as long as can detect should the stop blooding pressure at position of compressing, can appropriate change.As shown in Figure 6, pressure transducer 110 can be configured on the line of the direction of balloon 5 compressing sites of puncture 510, and be configured in (in illustrated example, between twisted plate 4 and saloon 6) between twisted plate 4 and the balloon 5.Even at above-mentioned position configuration pressure transducer 110, also can detect the pressure of compressing site of puncture 510 itself, as mentioned above, can prevent by execute that the patient causes in generation deviation aspect the pressure of compressing site of puncture 510.
In this Change Example, thing can not working pressure sensor 110 serves as a mark.Therefore, hemostasis utensil 1 has be used to making balloon 5 aim at the label 7 of the special use of site of puncture 510.In the illustrated example, label 7 is arranged on the saloon 6.
The material of label 7 is not particularly limited, such as enumerating mixing resin that the oil stains such as printing ink, pigment are arranged etc.
The color of label 7 is preferably green system as long as the color for making balloon 5 aim at site of puncture 510 is not particularly limited.By being green system, therefore easy discernable marks thing 7 on blood and skin, more easily makes balloon 5 aligning sites of puncture 510.
In addition, preferred label 7 is translucent.Thus, can distinguish site of puncture 510 from the outside of label 7.
The method that label 7 is set at saloon 6 is not particularly limited, such as can enumerate with label 7 be printed on method on the saloon 6, with the method for label 7 and saloon 6 weldings, be fitted in method on the saloon 6 etc. at coating adhesive on the one side of label 7.
Need to prove, label 7 can not be arranged on the saloon 6, also can be arranged on belt body 2, twisted plate 4 or the balloon 5.In this case, also can be preferably with the overlapping mode of the central part of balloon 5 label 7 to be set.
(other Change Example)
The diagram expression is installed in the assembling all-in-one-piece display parts 210 such as control part 220 form of the exterior side of belt body 2, but display part 210 can be separated with control part 220 grades, only will be installed on the belt body 2 as LCD monitor 211 or the buzzer 212 of display part 210.
In addition, about LCD monitor 211, buzzer 212 or control part 220 etc., can be for using general PC (PC), on the hemostasis utensil, only having the form of the sensor class such as pressure transducer 110.At this moment, will be connected to from the control signal wire that sensor class is drawn on the PC, the monitor by PC or buzzer 212 show working pressure sensors 110 detected pressure etc.Owing to using general PC to show detected pressure etc., so the hemostasis utensil does not need to have display part 210, simplification and cost degradation that the utensil of can realizing stopping blooding consists of.
In addition, be illustrated for the hemostasis utensil 1 with pressure transducer 110, temperature sensor 120 and leakage sensor 130, but also can consist of following hemostasis utensil: only have pressure transducer 110 the hemostasis utensil, have the hemostasis utensil of pressure transducer 110 and temperature sensor 120 or have pressure transducer 110 and the hemostasis utensil of leakage sensor 130.
In addition, as temperature sensor 120, can use the belt body of expression variations in temperature, be coated with the heat sensitizer that shows different colours according to different temperature on the described belt body.Display part 210 under this form is the equal of that the belt body of expression variations in temperature shows different colors.
Above, based on illustrated embodiment hemostasis utensil of the present utility model is described, but this utility model is not limited to above-mentioned embodiment, each one that consists of the hemostasis utensil can be replaced into the arbitrary structures that can bring into play identical function.In addition, also can add arbitrarily member.
In addition, hemostasis utensil of the present utility model is not limited to be installed on the wrist and uses, and also goes for being installed on the hemostasis utensil of any part of arm or foot (in this description, they being generically and collectively referred to as " limbs ").
Need to prove, the application requires the priority of the Japanese patent application of filing an application on February 4th, 2010 2010-023222 number, with its disclosed content as with reference to all introducing in these description.
Symbol description
1 hemostasis utensil,
11 connecting portions,
12 interconnecting parts,
13 fixed parts,
2 belt bodies,
21 twisted plate maintaining parts,
3 magic tapes,
31 male sides,
32 female sides,
4 twisted plates,
41 central parts,
42 bending sections,
5 balloons,
6 saloons,
7 labels,
8 injection units,
81 pipes,
82 bags,
83 adapters,
110 pressure transducers,
120 temperature sensors,
130 leakage sensors,
131 suction members,
210 display parts,
211 LCD monitors,
212 buzzers,
220 control parts,
500 wrists,
510 sites of puncture.

Claims (10)

1. hemostasis utensil has:
Belt body is for the position of should stopping blooding that is wrapped in limbs;
Fixed component is fixed as described belt body the state that is wrapped on the described limbs;
Balloon, described balloon are installed on the described belt body, expand by injecting fluid; And
Pressure transducer is for detection of the pressure at the described position of should stopping blooding of described balloon compressing of being expanded.
2. hemostasis utensil as claimed in claim 1 wherein, also has the display part that demonstration utilizes the detected pressure of described pressure transducer.
3. hemostasis utensil as claimed in claim 1 or 2, wherein, described pressure transducer is also used as label, and described label is used for making described balloon to aim at the described position of should stopping blooding.
4. hemostasis utensil as claimed in claim 1 wherein, also has the temperature sensor for detection of the shell temperature of limbs.
5. hemostasis utensil as claimed in claim 4 wherein, also has the display part that demonstration utilizes the detected shell temperature of described temperature sensor.
6. such as claim 4 or 5 described hemostasis utensils, wherein, described temperature sensor is installed in following position, namely, in the position of the outer surface of described balloon, described winding belts is being compared the position that more is close to limbs tip side with the described position of should stopping blooding on the described position of should stopping blooding the time.
7. hemostasis utensil as claimed in claim 1 wherein, also has the leakage sensor that spills for detection of blood.
8. hemostasis utensil as claimed in claim 7 wherein, also has the display part that demonstration utilizes the detected blood of described leakage sensor to spill.
9. such as claim 7 or 8 described hemostasis utensils, wherein, described leakage sensor is installed in following position, namely, in the position of the outer surface of described balloon, described winding belts is positioned at the position of the periphery at the described position of should stopping blooding on the described position of should stopping blooding the time.
10. such as claim 2, claim 5 or hemostasis utensil claimed in claim 8, wherein, described display part is installed on the described belt body.
CN201190000266.6U 2010-02-04 2011-01-28 Hemostasis appliance Expired - Lifetime CN202821488U (en)

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JP2010023222 2010-02-04
JP2010-023222 2010-02-04
PCT/JP2011/051770 WO2011096336A1 (en) 2010-02-04 2011-01-28 Hemostatic device

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JP6261368B2 (en) * 2014-02-17 2018-01-17 テルモ株式会社 Hemostatic device
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CN104546052A (en) * 2015-01-06 2015-04-29 杨霞 Device for stopping bleeding for cardiology
CN104720863A (en) * 2015-04-08 2015-06-24 中国人民解放军第三军医大学第二附属医院 Intelligent multifunctional tourniquet used in field

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JP5770643B2 (en) 2015-08-26

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